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Great Lakes District Conference Registration Form
Registration for the Great Lakes District Convention

Registration Cost:
Early Bird Member 2 days- $105
Early Bird Non-Member - 2 Days $115
Early Bird Member - Friday Only $75
Early Bird Non Member - Friday Only $85
Early Bird Member Saturday only $45
Early Bird Non-Member Saturday only $ 55
Students $35/day - With Food $45/day
After Sept 20th
Member - 2 day - $115
Non-Member 2 day - $125
Member Friday only $85
Non-Member - Friday only $95
Member Saturday only - $55
Non-Member Saturday Only $65
Students $35/day - With Food $45/day


Online Registration - Pay at the door - Credit/Debit Card, Check or Cash. If you wish to mail in your fees then please
mail in Registration Payment to OSSAMT, c/o JD Hall, 8730 Cin-Day Rd. Suite 931, West Chester OH 45701. You have the option to mail in check or pay at the door with cash, check or credit/debit card. . Do not send Credit/Debit card information through the mail.

If you are mailing in your check for registration please make the check payable to "GREAT LAKES DISTRICT CONFERENCE"

Thank you

Email address *
Name *
Please enter your first and last name
Your answer
Address *
Street Address
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Email *
Your answer
AMT Member *
AMT # *
If you are a non member Enter "None" If you are a student Enter "Student"
Your answer
Student *
Must be enrolled in a program certified by AMT - and bring Student ID card to the Convention
Certification *
Check all certifications that aply
Required
State Membership *
Attending *
Payment *
Friday Sessions
Select all that apply
Saturday Sessions
Select all that apply
A copy of your responses will be emailed to the address you provided.
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